Personal Statement

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.

More about Dr. S Rajashree

Dr. S Rajashree is an experienced Physiotherapist in Ramamurthy Nagar, Bangalore. He has been a practicing Physiotherapist for 12 years. He is a BPTh/BPT. You can visit him at Synergy Physiotherapy Clinic in Ramamurthy Nagar, Bangalore. Book an appointment online with Dr. S Rajashree and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Physiotherapists in India. You will find Physiotherapists with more than 36 years of experience on Lybrate.com. You can find Physiotherapists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Identify the mid point between the ankle bone and tendons and give pressure with a blunt edge on either side of your foot for 2 minutes. Also give pressure in the web between 2nd and 3rd finger from your toe for 2 minutes. Finally give a good massage for both feet in hot water. Identify the dipping portion on the back of your knee folding. Press this dip with both middle fingers and hold your knee with your thumbs for support. Please swing 20 times morning and evenings. Inform after 10 days for further guidance.

Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful
use no pillow under the head.
Do hot fomantation.
Paracetamol 250mg od & sos x 5days.
Caldikind plus 1tab od x10.
Do neck, back & general exercises.
It may have to be further investigated.
You will need other supportive medicines also.
Make sure you are not allergic to any of the medicines you are going to take.
If it does not give relief in 4-5days, contact me again. Do not ignore. It could be beginning of a serious problem.

Dear
well prolonged standing can cause back pain and leg pain. So you need breaks and create fitness.
Do a combination of aerobics, yoga and strength training. Gradually you will feel better. Also take balanced diet and good sleep.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi.
Because of your previous history and lifestyle I will advise you conservative management initially failing which we will have to investigate you in a greater detail. For back pain: if you have localized back pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesias etc, then you can start with following recommendations for initial period of 2-3 weeks: - to maintain proper posture of your back while working and sleeping
- if pain is more then you can take a short course of an anti-inflammatory medication like tab etoshine or paracetamol or one which suits you
- physical therapy initially under supervision of a trained physiotherapist and then to continue at home
- adequate calcium & vitamin d intake if levels are low in body
- ice packs can applied if your pain is acute, then hot fomentation can be done at home
- analgesic spray for local application can be used and is easily available.
- avoid lifting heavyweight/ acute forward bending in mornings etc we will observe you for next 2-3 weeks how you respond to this conservative management protocol.
If you are not feeling better, then we will have to get some investigations like, dynamic x rays of lower back and few blood tests for evaluation. For leg pain: actually pain at calf/leg region can be due to many reasons, commonly it is muscular in nature but it can also be due to tendons, nerves, blood vessels etc.
My advise to you for initial 2-3 weeks will be: - ice packs application intensively with elevation of your limbs at night
- take a short course of anti-inflammatory medication as per your body's suitability
- stop your physical activity till pain completely subsides
- intensive physical therapy, training and proper muscle conditioning once pain has subsided
- slow resumption of physical activities with proper pre activity warm up and stretching of muscles and short increments in duration of physical activity each day as per pain tolerance.
- we will get some blood tests for you - serum vitamin d and serum potassium levels, esr and crp once you have all these reports then you can contact me as I can advise you for proper supplementation do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.

Hi thanks for your query and welcome to lybrate
It' s good that you have sent me the mri report but I also need to understand his clinical condition which means duration of pain and associated neurological symptoms. It will be helpful if you can send me:
1) a detailed neurological charting with sensory and motor evaluation of lower limbs
2) mri images do not hesitate to contact me if you need any further assistance.
Thanks & regards
Dr Akshay Kumar Saxena

Do take ift for pain relief for 7 days regularly do learn stretching and strengthening exercises from physiotherapist apply hot water fomentation thrice a day for 7 days regularly do revert for further assistance best wishes.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi.
Actually pain at calf/leg region can be due to many reasons, commonly it is muscular in nature but it can also be due to tendons, nerves, blood vessels etc.
My advise to you for initial 2-3 weeks will be: - ice packs application intensively with elevation of your limbs at night
- take a short course of anti-inflammatory medication as per your body's suitability
- stop your physical activity till pain completely subsides
- intensive physical therapy, training and proper muscle conditioning once pain has subsided
- slow resumption of physical activities with proper pre activity warm up and stretching of muscles and short increments in duration of physical activity each day as per pain tolerance.
- we will get some blood tests for you - serum vitamin d and serum potassium levels, esr and crp once you have all these reports then you can contact me as I can advise you for proper supplementation
do not hesitate to contact me if you need any further assistance.

Ever faced a nagging low back ache that just won't quit? You could be dealing with sciatica. Sciatica or sciatic nerve pain is not a diagnosis in itself, but is a symptom of a deeper problem. Conditions that trigger sciatica include degenerative discs, spinal stenosis, a herniated disc in the lumbar region or spondylolisthesis. Whether your sciatica pain is persistent or sporadic, it can make routine tasks difficult to perform. The good news is that there are a number of remedies to ease this pain and improve the health of your spine.

1. Hot and cold therapy: Sciatic pain that extends down to the thighs can be relieved by alternating between a heat pack and an ice pack. Each pack can be applied for about 20 minutes at a stretch every two hours. However, this does not treat the sciatic nerve itself.

2. Pain medications and steroid injections: Over the counter pain medication like ibuprofen or muscle relaxants can help alleviate pain and reduce inflammation. In chronic cases, epidural steroid injections may also be prescribed to address the inflammation and pain. Pain relief provided by medication and steroid injections can last for a few days or a few months depending on the person.

3. Yoga: Sciatica patients looking for long term relief often turn towards alternative forms of treatment like yoga. Yoga helps strengthen muscles, increases flexibility and improves posture. This is more beneficial towards preventing sciatica problems from arising than treating ongoing sciatic pain. When practicing yoga with a sciatica problem, it is very important to understand your body's limitations and not over extend your back muscles.

4. Massage: A massage that treats sciatic pain is very different from the usual massage you may get at a spa. A massage to relieve sciatic pain involves putting pressure on the inflamed part of the back and the piriformis muscle. This is the muscle that sits over the sciatic nerve and triggers sciatic pain. In most cases, 3 to 4 massage sessions at intervals of 7 to 10 days can have effective results on sciatic pain.

5. Physical therapy: Sciatica patients often find the slightest movement extremely painful. While lying in a bad is tempting, it can actually worsen the pain. Exercise increases blood flow to the spine and helps flush out toxins. Going for a walk, light aerobics or swimming are ideal ways for a sciatica patient to exercise.

6. Chiropractic manipulation: This involves realigning the spinal column and is an effective way of treating underlying conditions that trigger sciatic pain. These spinal adjustments should only be performed by licensed chiropractors or osteopathic physicians.

Core strengthening exercises- straight leg raised with toes turned outward, repeat 10 times, twice a day.
Back stretching- lie flat, pull one of the knee forward to chest, hold for 3 seconds, then bring the other knee forward to the chest and again hold for 3 seconds. Then pull both knees towards the chest and hold for 3 seconds. Repeat 10 times each exercise twice a day.